关键词: embolization hemoptysis radiology sequestration surgery

来  源:   DOI:10.1097/MS9.0000000000002028   PDF(Pubmed)

Abstract:
UNASSIGNED: Pulmonary sequestration (PS) is a rare congenital anomaly characterized by aberrant formation of nonfunctional lung tissue with anomalous systemic blood supply. Despite its rarity, PS presents significant diagnostic and management challenges, often necessitating a multidisciplinary approach for optimal patient outcomes. This case report provides insights into the clinical presentation, diagnostic modalities, and management strategies for PS.
UNASSIGNED: The authors present a case of a 30-year-old male who complained of chronic cough and hemoptysis and was eventually diagnosed with intralobar PS by computed tomography (CT) imaging. The patient underwent a surgical procedure, specifically a lobectomy, to address the lung tissue.
UNASSIGNED: The diagnosis of intralobar PS is confirmed by CT imaging, showing features of abnormalities, including irregular cystic communication. A large area with abnormal systemic arterial supply and variable venous fluid. This patient presented with symptoms consistent with PS, including chronic cough and hemoptysis, highlighting the importance of timely diagnosis and intervention to prevent life-threatening complications.
UNASSIGNED: Lung sequestration has diagnostic challenges due to its variable clinical presentation and potential for misdiagnosis. However, advances in technology, such as CT angiography, make accurate diagnosis and precise surgical planning easier. Prompt intervention via lobectomy or transarterial embolization is important to reduce the risk of life-threatening complications associated with PS. These data highlight the importance of multidisciplinary collaboration between physicians, radiologists, and surgeons to effectively manage PS and improve patient outcomes.
摘要:
肺隔离症(PS)是一种罕见的先天性异常,其特征是无功能的肺组织异常形成,全身血液供应异常。尽管它很罕见,PS提出了重大的诊断和管理挑战,通常需要多学科方法来获得最佳患者预后。本病例报告提供了对临床表现的见解,诊断方式,和PS的管理策略。
作者介绍了一例30岁男性,主诉慢性咳嗽和咯血,最终通过计算机断层扫描(CT)成像诊断为叶内PS。病人接受了外科手术,特别是肺叶切除术,来处理肺组织。
叶内PS的诊断通过CT成像证实,表现出异常的特征,包括不规则的囊性通讯。全身动脉供应异常和静脉液体变化的大面积区域。该患者出现与PS一致的症状,包括慢性咳嗽和咯血,强调及时诊断和干预以预防危及生命的并发症的重要性。
肺隔离术由于其可变的临床表现和潜在的误诊而具有诊断挑战。然而,技术的进步,比如CT血管造影,使准确的诊断和精确的手术计划更容易。通过肺叶切除术或动脉栓塞术进行及时干预对于降低与PS相关的危及生命的并发症的风险很重要。这些数据突出了医生之间多学科合作的重要性,放射科医生,和外科医生有效管理PS并改善患者预后。
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